Organization
NEXT GENERATION MIHP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLEY GANT LLMSW (COORDINATOR/OWNER)
(313) 413-7382
Entity
Organization
Contact information
Practice address
22901 TIMBERLINE DR, SOUTHFIELD, MI 48033-3443
(313) 413-7382
(313) 572-9369
Mailing address
18701 GRAND RIVER AVE # 181, DETROIT, MI 48223-2214
(313) 413-7382
(313) 572-9369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/21/2021
Last updated
12/20/2021
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